Frequently Asked Questions (FAQ)
Below we have compiled answers to the questions most commonly asked by our patients. If you have additional questions not covered here, we are more than happy to discuss them during your consultation.
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Dermatology FAQs
How is a skin cancer screening conducted?
After reviewing your medical history and individual risk factors, a thorough full-body skin examination is performed. Any suspicious lesions are evaluated using a dermatoscope—a specialized magnifying device with standardized illumination that allows us to examine the microstructures of the skin.
If a lesion is suspected of being malignant, we typically recommend a skin biopsy or surgical excision for histological evaluation in a laboratory.
Additionally, we offer digital video dermoscopy / mole mapping. This technology stores high-resolution magnified images of specific moles, allowing precise side-by-side comparison during future check-ups. Digital tracking provides enhanced diagnostic accuracy, particularly for patients with atypical moles or a high mole count.
At what age should I start getting skin cancer screenings?
Statutory health insurance in Germany generally covers routine skin cancer screenings starting at age 35. However, from a dermatological standpoint, regular screenings are beneficial starting in early adulthood, as malignant melanoma risk is not strictly confined to older age groups.
In prepubertal children, classic skin cancer screenings are generally not performed, as melanoma is extremely rare in this age group and typically presents as an amelanotic (non-pigmented, bleeding) nodule rather than a typical mole. However, congenital nevi (moles present at birth) are an exception and should be monitored at any age.
How often should I undergo skin cancer screening?
The general recommendation is once every two years. However, the ideal frequency should be individually adapted based on your personal risk profile (e.g., skin phototype, total mole count, family history of skin cancer, immunosuppressive medications, or a personal history of skin lesions).
Is skin cancer screening covered by health insurance?
Statutory health insurance in Germany covers skin cancer screening every two years for individuals aged 35 and older. Additionally, expanded options (such as digital video dermoscopy) can be utilized as elective self-pay medical services (iGeL). Private health insurance plans typically cover comprehensive screenings according to individual policy terms.
Can I undergo laser treatment during the summer months?
Technically, yes. However, skin becomes significantly more photosensitive following laser therapy. Exposure to strong sunlight within 4 to 6 weeks post-treatment can lead to post-inflammatory hyperpigmentation (dark spots). Therefore, we generally advise against laser treatments on sun-exposed areas such as the face, décolletage, and hands during the summer months. For other body areas, treatment suitability depends on your lifestyle and sun exposure habits.
Can I drive or use public transportation after an outpatient surgical procedure?
All surgical procedures in our practice are performed under local anesthesia, which numbs only the specific treatment site. Your cognitive function and driving ability are not impaired. Depending on the procedure site, riding a bicycle is also possible. However, for larger procedures, patients often find it comforting to have an accompanying person with them.
Do I need to fast before an outpatient skin procedure?
No, please do not fast! Because all our procedures are performed under local anesthesia, you can—and should—eat and drink normally prior to your appointment.
What should I keep in mind before undergoing allergy testing?
Diagnostic protocols depend on your specific symptoms:
Prick Testing & Blood Tests: For allergic rhinitis (hay fever), asthma, or suspected food allergies, skin prick testing is performed. A blood test measuring specific IgE antibodies may also be indicated.
Important: To ensure accurate skin test results, you must discontinue all antihistamines ("allergy tablets") for at least 7 days prior to testing. Blood tests are not affected by medications and do not require fasting.
Patch Testing (Epicutaneous Test): For suspected contact dermatitis (e.g., reactions to nickel, fragrances, or cosmetic preservatives), patch testing is applied to the upper back.
Important: The skin on your back should not be heavily tanned or treated with topical corticosteroid creams in the days leading up to the test.
The patches remain on the back and readings are taken after 48 and 72 hours, requiring a total of three clinic visits (Day 1, Day 3, and Day 4). The test site must stay completely dry; showering is restricted and bathing is not permitted. Consequently, patch testing is generally avoided during periods of extreme summer heat.
Should I bring any documents to my first appointment?
Yes, it is helpful to bring any relevant medical documentation, such as a list of current medications, a referral slip (if applicable), and previous treatment records or reports detailing prior skin conditions. If written reports are unavailable, knowing the exact names of previously prescribed creams or oral medications is very useful.
If you have previously had skin lesions removed or biopsies performed, past pathology/histology reports are particularly valuable. For pediatric visits, bringing your child's medical check-up booklet (Gelbes Heft) is recommended.
How do I request a repeat prescription for chronic skin conditions?
For managed chronic skin conditions, established patients can request follow-up prescriptions without an in-person consultation. Please contact us via phone or email with your request. Your treating physician will review your chart, issue the prescription, and contact you if any clinical follow-up is required. You may then pick up your prescription upon presenting your health insurance card.
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